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DR. RUSSELL L MCCAULLEY O.D.
NPI 1861463341
Optometrist in Great Bend, KS

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
15/100
CMS Quality Rating
2601 10TH ST, GREAT BEND, KS 67530(620) 792-2020 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Russell L Mccaulley O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUSSELL L MCCAULLEY O.D. (NPI 1861463341) is an individual optometrist in Great Bend, Kansas, licensed in Kansas (1198-3) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1983).

NPPES Registry Identity

NPI1861463341
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RUSSELL L MCCAULLEYCredential: O.D.
Location Address2601 10TH STGreat Bend, KS 67530-4253
Mailing Address2601 10th StGreat Bend, KS 67530-4253 · (620) 792-2020
Phone(620) 792-2020
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1983
Enumeration DateJanuary 31, 2006
Last NPPES UpdateMay 6, 2014
✔ NPI 1861463341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KS · 1198-3
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2601 10TH ST, Great Bend, KS 67530
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINU02569KS
Medicaid100218010AKS
Other1861463341KS · Npi
Other410020390KS · Palmentto Gba Rr Medicare
Medicare PIN005342KS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Russell L Mccaulley O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618924754
PECOS Enrollment IDI20050331001220
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Russell Mccaulley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mccaulley Optometric PA
Same address
Optometrist
2601 10TH ST
Great Bend, KS 67530
  • Reassigned Medicare billing, Kansas enrollment
  • 4 clinicians in this Medicare group
NPI 1043255243 (620) 792-2020
The Russell Eyecare Center
37 mi
Optometrist
702 N KANSAS ST
Russell, KS 67665
  • Reassigned Medicare billing, Kansas enrollment
  • 4 clinicians in this Medicare group
NPI 1841710563 (785) 483-2451

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
741 services741 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
136 services117 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
104 services93 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
97 services95 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
97 services72 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
92 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability0
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers18 claims18 services$53.03 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers25 claims42 services$50.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCCAULLEY OPTOMETRIC PA
Optometrist
2601 10TH ST
GREAT BEND, KS 67530
Barton County (620) 792-2020
SARAH LYNN STUEDER OD
Optometrist
2601 10TH ST
GREAT BEND, KS 67530
Barton County (620) 792-2020
DR. CHAD T PREMER O.D.
Optometrist
2601 10TH ST
GREAT BEND, KS 67530
Barton County (620) 792-2020
DR. NICOLE RENEE MILLER O.D.
Optometrist
2601 10TH ST
GREAT BEND, KS 67530
Barton County (620) 792-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Mccaulley's NPI number?

The NPI number for Russell Mccaulley is 1861463341. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Russell Mccaulley located?

Russell Mccaulley practices at 2601 10th St, Great Bend, KS 67530. The listed phone number is (620) 792-2020.

What is Russell Mccaulley's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Russell Mccaulley enrolled in Medicare?

Yes. Russell Mccaulley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Russell Mccaulley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell Mccaulley reassigns Medicare benefits to 2 organizations: Mccaulley Optometric PA (Great Bend, KS) and The Russell Eyecare Center (Russell, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Russell Mccaulley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Russell Mccaulley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 11 other insurers list Russell Mccaulley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Russell Mccaulley was last updated on May 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.